| NPI | 1902054836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1522) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R140616-6) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-12-20 |